Individual provider Active NPI

Vanessa Marie Medina, M.D.

  • Diagnostic Radiology Physician
  • San Antonio, TX
National Provider Identifier
1871989780
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
S3712 Issued in TX
Practice address
4502 Medical Dr
San Antonio, TX 78229-4402
Phone
(210) 358-4000
NPI assigned
Apr 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X S3712 TX Primary

Addresses

Primary practice location

4502 Medical Dr
San Antonio, TX 78229-4402

Mailing address

4502 Medical Dr # Ms 01W256
San Antonio, TX 78229-4402
Phone (210) 358-4000

Other practice location 1

2401 S 31st St
Ms-01-W256
Temple, TX 76508-0001
Phone (254) 724-4507

Other practice location 2

4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 526-2200

Other identifiers 1

IdentifierTypeStateIssuer
414497401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200714003085 TX Practitioner - Diagnostic Radiology 1355622556 Reassigns benefits to 4 organizations
I20250805002636 AL Practitioner - Diagnostic Radiology 1355622556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical Branch at Galveston, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Radiology PLLCGroup PAC ID 8628332061, 217 clinicians
Coaxion PLLCGroup PAC ID 3779099643, 31 clinicians

Practice addresses (Care Compare)

100 E Alton Gloor Blvd
Brownsville, TX 78526-3328
Phone (888) 264-0330

101 E Ridge Rd
McAllen, TX 78503-1847
Phone (888) 264-0330

101 E Ridge Rd B
HCA Rio Grande RGRH Imaging Center Op
McAllen, TX 78503-1848
Phone (956) 668-6900

215 Chisholm TRL
Jacksboro, TX 76458-1403
Phone (888) 264-0330

6761 Pecan Chase LN
Frisco, TX 75034-0726
Phone (888) 264-0330

Hospital & facility affiliations

  • Rio Grande Regional Hospital Hospital, McAllen, TX, CCN 450711
  • Valley Regional Medical Center Hospital, Brownsville, TX, CCN 450662
  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869

Merit-based Incentive Payment System (MIPS)

Final score
89.18 of 100Reported as group
Quality
85.58
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Services-Gadsden Physician Management LLC CurrentSince May 18, 2025 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Concord Radiology PLLC Diagnostic Radiology CurrentSince Mar 10, 2024 Accepting new patients
University of Texas Health Science Center at San Antonio Diagnostic Radiology CurrentSince Sep 1, 2020 Accepting new patients
Texas Health Care Mobile Imaging Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Coaxion PLLC Diagnostic Radiology CurrentSince May 25, 2025 Accepting new patients
The University of Texas Health Science Center at San Antonio Diagnostic Radiology CurrentSince Sep 1, 2020 Accepting new patients
Texas Health Care Mobile Imaging CurrentSince Jan 1, 2025 Accepting new patients
Texas Health Care Mobile Imaging CurrentSince Jan 1, 2026 Accepting new patients
Texas Health Care Mobile Imaging CurrentSince Jan 1, 2024 Accepting new patients
ER Physician Group at Jackson Hospital Past Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

303 Bay St
Ste 401
Gadsden, AL 35901
Phone (256) 413-6591

600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200

1642A Pelham Rd S
Jacksonville, AL 36265
Phone (256) 543-1222

12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462

608 Avenue B
Ballinger, TX 76821
Phone (325) 365-2531

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

215 Chisholm Trl
Jacksboro, TX 76458
Phone (940) 567-5528

101 E Ridge Rd
Ste B
McAllen, TX 78503
Phone (956) 632-6000

101 E Ridge Rd
McAllen, TX 78503
Phone (956) 632-6000

8595 Medical Center Blvd
Port Arthur, TX 77640
Phone (409) 721-8600

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

4502 Medical Dr
#1W256
San Antonio, TX 78229

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

6720 Bertner Ave
Va Hospital, TX 77030
Phone (713) 785-8537

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10998/brand/1/csg/1/fhir/r4

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1871989780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DR # MS 01W256",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294402",
            "telephone_number": "210-358-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294402",
            "telephone_number": "210-358-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 S 31st St",
            "address_2": "MS-01-W256",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765080001",
            "country_code": "US",
            "telephone_number": "254-724-4507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4250 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Marianna",
            "state": "FL",
            "postal_code": "324461917",
            "country_code": "US",
            "telephone_number": "850-526-2200",
            "fax_number": "850-718-2844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "VANESSA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-08",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "S3712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "414497401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.